Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $24.21	Facility		$24.21	$24.21	$24.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $35.61 / $186.86	Professional		$24.21	$35.61	$186.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $288.64 / $498.07	Facility		$83.00	$288.64	$498.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $31.21 / $44.50	Professional		$23.41	$31.21	$44.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $38.15 / $38.15	Facility		$38.15	$38.15	$38.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $38.15 / $39.22	Professional		$32.43	$38.15	$39.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $57.24 / $85.86	Professional		$45.79	$57.24	$85.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $50.16	Facility		$19.10	$19.10	$50.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.15 / $50.37	Professional		$27.54	$38.15	$50.37
United Facility/Professional Facility Modifier Low / Median / High Price $55.06 / $55.06 / $64.78	Facility		$55.06	$55.06	$64.78
United Facility/Professional Professional Modifier Low / Median / High Price $26.71 / $29.59 / $44.57	Professional		$26.71	$29.59	$44.57